Nonsurgical Medical Group INC

NPI #1184044141 in Santa Ana, California

Provider Information

NPI Number
1184044141
Entity Type
Organization
Organization Name
Nonsurgical Medical Group INC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Apr 17, 2014
Last Updated
Apr 17, 2014

Practice Location

Address
3801 S HARBOR BLVD
Address 2
SUITE B
ZIP Code
92704-7901
Phone
(714) 751-5555

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 964-1506

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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